远程医疗与面对面的护理院居民与急性演示:一个非劣势性研究
Gary Y Huang1, Manoj Kumar2, Xinsheng Liu2
1Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia.
概括
对患有急性问题的养老院居民的远程医疗护理与现场管理的面对面护理相比,不逊色. 然而,远程医疗可能需要更多的接触,建议为养老院 (NH) 居民量身定制的应用.
科学领域:
- 老年病的医生 老年病的医生
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 养老院 (NHs) 经常利用远程医疗和面对面的服务来减少急性疾病的入院.
- 这两种在国民医疗机构提供护理的模式的相对有效性尚不清楚.
研究的目的:
- 为了比较远程医疗与面对面干预的非劣势,用于管理NH居民的急性表现.
- 评估远程医疗护理是否与面对面护理在预防住院治疗方面同样有效.
主要方法:
- 一项前性非劣等性研究,涉及17个设施的438名NH居民.
- 干预措施包括老年医生和中枢神经系统的面对面评估,以及中枢神经系统的远程医疗与老年医生投入.
- 测量结果是现场管理的居民比例和平均遭遇数量,使用引导回归分析.
主要成果:
- 在成功地在现场管理NH居民方面,远程医疗护理被发现与面对面护理无差 (P < .001).
- 然而,接触的平均数量并非非劣,远程医疗可能需要额外的相互作用 (P = .7).
结论:
- 远程医疗是一种可行的替代方案,以面对面的护理急性呈现在NHs,显示在现场管理的非劣势.
- 建议将远程医疗应用量身定制为利益相关者的需求和偏好,并承认可能增加接触频率.
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